Health care utilization by low-income clients of a community clinic: an archival study

An archival study was done of 500 medical records from a community clinic serving a low income predominantly Hispanic area of Los Angeles. The data collected included demographic characteristics and presented symptoms or reasons for visit, as well as diagnosis and treatment. The greatest number of patient visits were made for family planning services. A large porportion of the patients who received initial family planning services failed to return to the clinic for follow ups or additional supplies. A total of 208 pregnancy tests were performed in 151 of the 500 cases sampled. Of these, 152 were positive. The most frequently stated reason for requesting pediatric services was for physical exams, accounting for 30% of the visits. It should be noted that the discontinuity of care and insufficient utilization of preventive care seen in these results deserve serious attention by medical clinic administrators. The rate of patients who do not return for family planning after the initial visit is worrisome. A greater effort to attract women to family planning services at the time they request pregnancy verification could reduce the need for abortion of unwanted pregnancy. The data also indicate that changes in the wording of certain questions commonly asked of clients may be needed. This study allowed service providers to obtain important information about their performance, their needs, and the future direction that their services might take. This type of analysis is relatively low in cost and can yield important benefits, espicially if done on a periodical base in a search for policy implications.     

Career Process: A New Concept for Vocational Behavior

Vocational guidance has been traditionally too concerned with helping individuals choose an occupation. There is need for more awareness of change in vocational life. The concept “career process” stresses the continual changes and the varied developmental tasks in occupational life. Implicit in the career process concept is that no final ohoicepoint in vocational behavior exists; rather, counselors should help the individual learn key developmental tasks that will ultimately better equip him to face the realities of change as a part of vocational life.     

Components of Stroop-like interference in picture naming

The semantic interference effect observed in Stroop tasks and picture-word interference tasks might be due to the previous confounding of semantic similarity with task relevance (in the Stroop task) and with perceptual similarity (in the picture-word interference task). A picture-word variant of the Stroop task was devised in which the factors of task relevance and perceptual similarity were controlled. The distractor conditions allowed for the examination of four types of context effects. The results show that the overall Stroop-like interference effect can be decomposed into interference effects due to (1) a semantic relation between distractor and target, (2) the semantic relevance of the distractor word in the task at hand, (3) the presence of the distractor word in the response set, and (4) the mere presence of a word. Implications of these findings for the locus or loci of Stroop and picture-word interference effects are discussed. It is concluded that distractor words in Stroop-like naming tasks interfere mainly in the process of name retrieval.